Facility Evaluation Report

At approximately 1:00 PM, Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to BEGIN a required 1-Year visit and met with Licensee/Administrator Pritpal Atwal, LPA was informed there are six (6) residents in care, three (3) of which is on Hospice. Facility is a Residential Care Facility for the Elderly (RCFE) with a Hospice waiver the was recently increased from three (3) to six(6), an approved dementia plan and fire clearance for capacity of six (6) non-ambulatory residents.

At approximately 1:15 PM, LPA initiated a tour of the facility and observed the following: Facility is a two-story home, was a comfortable temperature, and passageways were free from obstructions. The second floor was observed gated off from resident access, and LPA was informed that the upstairs loft, closet and bathroom are staff living quarters. Water temperature in clients' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed client showers with grab bars an non-slip mats as required. LPA observed a supply of clean linens, incontinent care products, and paper products available to clients. Clients' bedrooms were inspected and observed to have appropriate furnishings as outlined in Title 22 regulations. Cabinets in communal areas containing cleaning supplies and other items that could pose a risk were observed locked. Laundry and cleaning chemicals in the laundry area were observed to be locked. Facility has at least two days of perishable foods and a supply of non-perishable foods. Licensee/Administrator informed LPA that activities change according to the needs and wants of the residents in care. Currently, those involve individualized exercises, knitting, and reading.

Facility purchases a new charged fire extinguisher each year, with the most recent one purchased June 2025. Smoke and Carbon Monoxide detectors were tested and operational during inspection.